Is Retrograde Pinning Reliable for Multiple Metatarsal Fractures?

Authors : Ali ÖZDEMİR, Yusuf Ziya YESİL, Sadettin ÇİFTCİ, Ebubekir ERAVŞAR, Selim SAFALI, Bahattin Kerem AYDIN

Pages : 330-333

Doi:10.54005/geneltip.1260290

View : 115 | Download : 93

Publication Date : 2023-06-30

Article Type : Research Paper

Abstract :ABSTRACT Background: Fixation with K-wires is a commonly used method in the surgical treatment of metatarsal fractures. The application of K-wires can be antegrade and retrograde. There is a limited number of studies about the fixation of metatarsal fractures with retrograde K-wires in the literature. The present study aims to investigate the long-term results of retrograde pinning. Methods: 14 patients with at least a four-year follow-up were included in the study. The patients\` union status, demographic data, duration of surgery, duration of fluoroscopy use, metacarpophalangeal insert ignore into journalissuearticles values(MP); range of motion, American Orthopedic Foot and Ankle Score insert ignore into journalissuearticles values(AOFAS); scores, and plantar keratosis formation were evaluated. Results: Complete union was observed in 13 of 14 patients. MP joint restriction was not found in any patient with a union. Symptomatic plantar keratosis was not observed in any patient. Good and perfect results were obtained in AOFAS scores. Conclusion: According to the literature, retrograde pinning in metatarsal fractures is thought to be a treatment that is difficult to apply, has high radiation exposure, and complications are observed frequently. However, in this study, we believe that retrograde pinning is a treatment method with satisfactory clinical results in long-term follow-up and fewer complications than mentioned.
Keywords : Metatarsal Kırıklar, Retrograd Pinleme, Çoklu Metatars Kırıkları

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